Carroll, Jimmy Russell
Carroll, Jimmy Russell is an individual health care provider with primary practice located at 7600 Wolf River Blvd Ste 200 , Germantown TN 38138-1788. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Carroll, Jimmy Russell can be contacted via phone (901) 747-1000.Contact Information
Primary practice address
7600 Wolf River Blvd Ste 200
Germantown TN 38138-1788
Phone: (901) 747-1000
Fax: (901) 747-1001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD0000048405 | Tennessee |
Profile Details
| NPI number | 1477796241 |
|---|---|
| LBN Legal business name | Carroll, Jimmy Russell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2009 |
| Last updated | Feb 1st, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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